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1124757000
JUSTIN ALEXANDER LY
PHILADELPHIA, PA
NPI
1124757000
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: PA MT225615)
Enumeration Date
2022-06-07
Last Update Date
2022-06-07
Business Address
JUSTIN ALEXANDER LY MD
3401 N BROAD ST DEPARTMENT OF ORTHOPADIC SURGERY & SPORTS MEDICINE
PHILADELPHIA, PA 19140
Phone number: 484-343-3159
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Mailing Address
JUSTIN ALEXANDER LY MD
3509 N BROAD ST BOYER PAVILLION SUITE 226 SUITE 226P
PHILADELPHIA, PA 19140
Phone number:
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